Prospective Los Angeles breast augmentation patients want to know if they can now receive silicone gel-filled breast implants, and if so, what types of silicone breast implants are available? And what are the potential adverse effects or concerns?
Candidates for Silicone Breast Implants
Contraindications for Use of Silicone Breast Implants
Breast implant surgery should not be performed on:
Women with active infection anywhere in their body Women with existing cancer or pre-cancer of their breast who have not received adequate treatment for those conditions Women who are currently pregnant or nursing
You should also know that silicone gel-filled breast implants have not been clinically tested on women with:
Differences in the Use of Saline & Silicone Breast Implants
Unlike saline breast implants, which are filled with saline after insertion in the body, the silicone breast implants are pre-filled with silicone. Therefore, silicone breast implants, especially the cohesive gel, memory gel, “Gummy Bear,” and the contour profile gel implants, require a larger incision for the insertion of the implant. In fact, the FDA does not allow the use of the periumbilical approach (TUBA) for the insertion of silicone implants, because excessive squeezing or manipulation during insertion can damage the silicone gel-filled breast implants.
What are some of the important factors you should consider when deciding whether or not to get silicone gel-filled breast implants?
Breast implants do not last forever. If you decide to get breast implants, you will likely need additional surgeries on your breasts over your lifetime due to complications or unsatisfactory cosmetic outcomes.
Many of the changes to your breasts following implantation cannot be undone. If you later choose to have your implants removed and not replaced; your breasts will not change back to the way they looked before your implant surgery. You may have permanent dimpling, puckering, wrinkling, or other cosmetic changes.
Both Mentor and Allergan manufacture a variety of silicone breast implants. Mentor produces silicone implants of different firmness depending on the degree of silicone cohesiveness. The so-called “gummy bear” implants are the more cohesive silicone gel-filled breast implants made of firmer silicone gel filler to help maintain the shape of the implant.
In the Mentor and Allergan core studies, the most frequent complication was re-operation (additional surgery) – 25-35 percent. Capsular contracture or hardening of the breast implants (13-17 percent) was another frequent complication. Additional common complications include implant removal (7-10 percent), breast pain (7-8 percent), nipple sensation changes (1.5 percent), rupture (2.7- 4 percent), and asymmetry (3-5 percent). The complication rates were typically higher for revision surgery than for primary (first-time) implants.
Decision to Have Silicone Breast Implants
“As a Los Angeles breast augmentation expert who practices in the greater Los Angeles area and near Beverly Hills, I often get asked if I would recommend silicone breast implants to my wife. Frankly, many national studies have established the safety of silicone breast implants and have found no link to the development of autoimmune disease, cancer, etc. Nevertheless, there are still unanswered questions about the long-term results (per FDA). Those who choose to have silicone implants enroll in the 10-year, post-approval study so that more light can be shed on the long-term effects of these medical devices.
“While reviewing our Web site, you can also read about the cost of breast augmentation as well as view many before and after pictures of women who have had saline or silicone breast implants.”
Dr. Sean Younai is a board certified Southern California plastic surgery expert who receives patients at the California Center for Plastic Surgery from surrounding cities, such as Beverly Hills, Los Angeles, Santa Monica, Hollywood, Burbank, Sherman Oaks, Encino, Calabasas, Woodland Hills, Thousand Oaks, Westlake Village, Pasadena, Glendale, Valencia, Palmdale, Fresno, and Oxnard. Dr. Younai receives patients from the Northern California region as well.
Our center also includes the Regency Surgery Center which is a state-of-the-art outpatient surgery facility certified by Medicare and accredited by the Accreditation Association for Ambulatory Health Care (AAAHC) and the American Association for Accreditation of Ambulatory Surgery Facilities, Inc., (AAAASF). This ambulatory surgery center is unparalleled in terms of its excellence in patient care and safety, serving the entire Southern and Northern California region, including the counties of Los Angeles, Ventura, Santa Barbara, Orange, Riverside, San Bernardino, and San Luis Obispo.
Thank you for taking the time to visit our Web site. Our staff is always available to help answer your questions regarding any plastic surgery procedures and financing options, as well as with your travel to our center. Plastic surgery has truly become a way to better ourselves. It allows us to take control of our lives, and to give ourselves the body and look we always wanted, and truly deserve. Why not! We deserve the best."